Individual provider Active NPI

Lindsey Yanke, M.D.

  • Family Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1427580174
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10959395-1205 Issued in UT
Practice address
1365 South 1000 North
Salt Lake City, UT 84116-1654
Phone
(801) 328-5750
Fax
(801) 746-0420
NPI assigned
Mar 31, 2017
Last updated
Feb 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10959395-1205 UT Primary

Addresses

Primary practice location

1365 South 1000 North
Salt Lake City, UT 84116-1654

Mailing address

375 S Chipeta Way
Salt Lake City, UT 84108-1260
Phone (801) 587-3411

Other practice location 1

375 S Chipeta Way
Salt Lake City, UT 84108-1260
Phone (801) 587-3411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200903002849 UT Practitioner - Family Practice 4587917000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers IncGroup PAC ID 5991698169, 39 clinicians

Practice addresses (Care Compare)

1365 W 1000
Salt Lake City, UT 84116-1654
Phone (801) 328-5750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10959395-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers, Inc. Family Medicine Current Accepting new patients
Community Health Centers, Inc. Family Medicine CurrentSince Sep 7, 2020 Accepting new patients
Community Health Centers, Inc. Family Medicine CurrentSince Sep 7, 2020 Accepting new patients
Community Health Centers, Inc. Family Medicine Past Accepting new patients

Locations

980 S 500 W
Ste 1
Brigham City, UT 84302
Phone (435) 723-6191

220 W 7200 S
Ste A
Midvale, UT 84047
Phone (801) 566-5494

1365 W 1000 N
Slc, UT 84116
Phone (801) 328-5750

1388 S Navajo St
Slc, UT 84104
Phone (801) 955-2360

4745 S 3200 W
Taylorsville, UT 84129
Phone (801) 964-6214

440 W 6th N
Tremonton, UT 84337
Phone (435) 257-7441

1455 W 2200 S
Ste 300
West Valley City, UT 84119
Phone (801) 231-6986

2621 S 3270 W
West Valley City, UT 84119
Phone (385) 261-2614

2621 S 3270 W
Ste 200
West Valley City, UT 84119

4535 S 5600 W
West Valley City, UT 84120
Phone (801) 676-4405

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACFCAA
  • Direct secure messaging: lindsey.yanke@chcsl.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1427580174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 S CHIPETA WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081260",
            "telephone_number": "801-587-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 SOUTH 1000 NORTH",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841161654",
            "telephone_number": "801-328-5750",
            "fax_number": "801-746-0420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 S Chipeta Way",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841081260",
            "country_code": "US",
            "telephone_number": "801-587-3411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANKE",
        "first_name": "LINDSEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "10959395-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.